What you need to know about Health Maintenance Organization (HMO) denial of benefits
In an ideal world, the doctors and nurses who treat you would make the important decisions about your health care. However, under the HMO "managed care" system, you frequently must get approval for treatment from a corporation. Like all corporations, the HMO's primary responsibility is to their shareholders. They have an economic incentive to limit or to deny care.

In practical terms, that means that your physician may limit his or her care based not on what is in your best interests, but on what is mandated by an HMO. In an HMO, you must receive all medical services from within the plan's staff of employed providers or network of participating providers. You may not get to choose to see the specialist who can best treat you.

If your HMO plan does not deliver proper medical care -- such as failing to cover treatments originally included in your insurance policy -- you may have legal recourse.

What we can do for you
If you suspect that you may have a case linked to HMO denial of benefits, we can help. We'll put our expertise in both medicine and law to as we evaluate your circumstances. First we will need to know basic information about what happened. Later we will need medical records and additional information.

Click here to contact us. There is no cost or obligation for us to review your case.